SGN2007-00225 Ir CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00225
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/10/2007
PARCEL: 2 S 102AC -01701
BUSINESS NAME: FARMERS INSURANCE ZONE: CBD
SIGN LOCATION: 12700 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: FARMERS INSURANCE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 5'
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) permanent freestanding sign 3' X 5' Must be placed on
private property, not in public right -of -way. Must meet visual clearance area
requirements
MATERIALS: DIBOND /WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Speaalty Codes and all other applicable
laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign
permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
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APPROVED BY: 4 �-
PERMITTEE SIGNATURE
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DATE: 12/10/2007
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iliPq : • SIGN PERMIT APPLICATION
Ci of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 9,7223 i`c a r
T 1 �i /� It U Phone: 503.639.4171 Fax.' 503.598 EC r
GENERAL INFORMATION
Name Development/Project J/ � FOR STAFF USE ONLY
Site 7 1-4'4 I V5 dl 54.47 '-e'
�
Address / Street Address Permit No.: .�o*(-) 7- tit-
Location Z 7 g G /7
Expiration Date:
Suite/Bldg. # City /State / Zip /J' NL�i tS� ' � C l7 2 2 3 Receipt #: .c/ C' 7 537
Name Approved By: 5 • �- 4"1"
Property tin A-lvviick Date: la X07
Owner Mailing Address Suite Map /TL #: a /0 Ad.' 0170
/2 Ida ktt( 1740 Zoning: cos D
City /State Zip Phone
77 fa 7721) `3 7- 057
Tenant or Nam Electrical Permit Required? ❑ Yes
r-1---, Building Permit Required? [1] Yes No
Business f GY�I E,�� �.i 1 Iv�GVt C
Name Rev. 7/1 /07
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Sign Gvgv'i O/ 4 y elit i
Contractor Mailing d dress & Suite
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ssuancc•, a trait / S ( 7 3 ~ /, p A (4 / `✓i d - -- - --
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are 9 7 i / / 2 , (Note: applications will not be accepted
required if ti (ef 6l� / / (? I - without the required submittal elements)
expired in the On:OA Ctmst. Cont. Roans License # Exp. Date
� � tr (
City of Tigard's / ' a� -07
database) , ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporar ❑ wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon t "
apply) size requirement: 8 /2 x 11", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 i 7 / (3 copies, if a building permit is required)
size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): /
f r � ❑ $40.00 Fee (Permanent sign, any size)
Si Da ta Total Wall Area (s q. ft 19.00 Fee (Temporary s an
� El $ (T p ry �, y type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): ‘ ' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 72 " must include dimensions of wall face and sign
Copy: - ti.4/kLV) i /.v 4 . /�i, at, • GA placement.
t �( . • Wall signs do not require site /plot plans.
Materials:
�t 17p►gi 1 f t Ujdo Q °Sls • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes X No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a terra t space? of the permit, THE PERMIT WILL BECOME
❑ Yes No NULL AND VOID.
If "yes ", a list or diagram of all si dimensions and square 1
footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this / ( I day of 'c. ce 4t , 20 (? 7
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ignature of • �•��)'�'
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Contact Person Name Phone No.
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CITY OF TIGARD 122/10/22007
13125 SW Hall Iihvd. 3:45:49PM
Tigard, OR 97223 5113.639.4171
TIGARD
Receipt #: 27200700000000005378
Date: 12/10/2007
Line Items:
Case No "Fran Code Description Revenue Account No Amount Paid
SG N2007-00”5 [SIGN] Sian Permit 100- 0000 - 437000 35.00
SGN2007 -00225 [LRPF] LR Planning Surcharge 100 -0000 - 4380 0 5.00
Line Item Total: 540.00
Payments:
/Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard ALAN SQUIRES ST 708341 In Person 40.00
Payment l ota1: $40.00
•
cReceipt.rpt Page I or I